Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00311799-AP-264360
Provider Information
Willamette Springs Memory Care
6000 SW MOSAIC DRIVE
Corvallis, OR 97333
- Provider ID
- 50M436
- Administrator
- Kimberly Blanchard
- Phone
- (541) 497-9707
- ed@willamettesprings.com
Violation Details
- Date
- 11/22/2023
- Report number
- 00311799-AP-264360
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(H) and (I)
External site: 411-054-0036(2)(b), and (g)
- Findings
- Alleged Victim (AV) Service Plan indicates AV is independent in transferring and ambulation and uses a walker to ambulate. AV has a history of falls. Hospital record on or about November 18, 2023 indicates AV had a fall two days ago and was having back pain. On or about November 22, 2023 AV at approximately 6:50am was found on the floor in the bathroom of another resident’s room. AV reported s/he hit h/h head and had pain in head and back. EMS was called to assess AV and EMS did not think AV needed to be seen at the hospital. Staff observed that AV had become more unsteady approximately one week before s/he began falling, but the facility did not put any interventions in place to address AV’s decline in mobility. Interventions able to be recalled by witnesses to reduce AV’s risk of falls include frequent checks. AV has no interventions for falls in h/h service plan. The incident reports for AV’s fall state, “Staff and family are aware that AV can be unbalanced”. There is no service planning around AV’s balance issues and no directions are given to staff on how to assess AV for balance issues or what to do if AV is seen having balance issues. The facility failed to appropriately care plan and implement reasonable interventions to address AV’s unbalance and falls, which resulted in a fall on 11/22/23 at approximately 6:50am whereupon AV hit h/h head and suffered head and back pain, which is violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP24-01281 $500.00 fine assessed